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Questions 210

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Question 1 of 5

The nurse is caring for a client diagnosed with generalized anxiety disorder. What behavior demonstrates that the client is building resilience toward improving anxiety symptoms?

Correct Answer: C

Rationale: Practicing stress-reduction techniques daily, such as mindfulness or deep breathing, actively builds resilience by equipping the client with tools to manage anxiety symptoms effectively. Avoiding situations may reinforce anxiety, identifying triggers is helpful but less proactive, and relying solely on medication does not foster long-term resilience.

Question 2 of 5

Legal protection of confidentiality:

Correct Answer: D

Rationale: Confidentiality protects both written and verbal identifiable health information to maintain client privacy. Non-identifiable data may not require protection, and confidentiality is not limited to courts. Coordinated Care

Question 3 of 5

The nurse working on the renal unit is preparing to make rounds for the day. Which client should the nurse visit first?

Correct Answer: C

Rationale: The client one hour post-renal transplant is at highest risk for complications, such as bleeding or graft rejection, requiring immediate assessment. Other clients are stable or less urgent.

Question 4 of 5

A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

Correct Answer: D

Rationale: Assess the client's ability to speak English. Despite the cultural heritage, the nurse cannot make assumptions. Stereotyping is to be avoided. The nurse should assess the client's comfort and ability in speaking English.

Question 5 of 5

An adult is admitted to the hospital with several days of vomiting and diarrhea. Admitting data show RBC level of 4.2 million/mm³ and hematocrit of 54%. What is the best interpretation of these data?

Correct Answer: B

Rationale: Elevated hematocrit (normal: 36-46% for females, 41-53% for males) with normal RBC suggests hemoconcentration from dehydration due to fluid loss from vomiting and diarrhea.

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